Conklin Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

272568 Issued in OR

Legal business name

CONKLIN CHIROPRACTIC CLINIC PC

Practice address

707 NE Knott St
Ste 101
Portland, OR 97212

Phone

(503) 287-6199

Fax

(503) 287-0210

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula L Conklin, DC CCSTNPI 1770788028

Title

Owner

Phone

(503) 287-6199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula L Conklin, D.C

  • Chiropractor
  • Portland, OR
  • NPI 1770788028
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376563106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 NE KNOTT ST",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "503-287-6199",
            "fax_number": "503-287-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NE KNOTT ST",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "503-287-6199",
            "fax_number": "503-287-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONKLIN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-287-6199",
        "authorized_official_credential": "DC CCST"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN #",
            "identifier": "116888",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Patricia Congdon, LAC
• Nicole L Conger, P.A.
• Marguerite Schmidt Congoran
• Congruent Therapy LLC
• Jennifer A Conjerti, M.AC.O.M, , L.AC.
• Bryanna Conklin
• Colleen Michelle Conklin
• David Scott Conklin, D.C.
• Katie Conklin, ARNP
• Lyndsay Conklin

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.